Individual
ALEXANDRA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 WHITNEY ST, NORTHBOROUGH, MA 01532-1405
(774) 279-7687
Mailing address
213 WHITNEY ST, NORTHBOROUGH, MA 01532-1405
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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